Predictors of Radio Frequency Identification Adoption for Medication Administration in Hospitals

Medication administration challenges within the United States hospital system have led to adverse drug events from medication errors among patients, resulting in 1.3 million emergency room visits and 350,000 hospitalizations annually. Radio frequency identification (RFID) has been identified as a useful tool within hospital systems; however, this technology has been slow to be incorporated to manage medication administration processes, necessitating exploration of predicting factors of RFID adoption. This quantitative, cross-sectional study explored the contributing factors of United States hospital’s adoption of RFID for medication administration using the technology-organization-environment framework as a foundation and secondary data from the Health Information Management Systems Society’s survey of United States hospitals. A binary regression analysis was used to explore the relationships between technological (RFID interoperability, networked environment, and vendor selection), organizational (hospital size, financial status, and presence of a chief information officer), and environmental (presence of an Electronic Medical Record and the attainment of Health Information and Management Systems Society Stage 6) factors as predictors of RFID adoption for medication administration. The results of this study found an association between RFID interoperability and either no association or the inability to determine a relationship between the remaining variables and RFID adoption for medication administration. This research contributes and supports social change research as it provides information for hospital leaders exploring best practices for improving medication administration in hospitals via technological solutions

Adoption of Medication Management Technologies by U.S. Acute Care Hospitals after the HITECH Act

Medication errors and adverse drug events (ADEs) are a significant public health concern in the United States as they pose a threat to patient safety. The medication management process is a complicated process in U.S. acute care hospitals, consisting of a series of steps such as ordering, transcribing, dispensing and administration and each step is prone to medication errors.The use of technology is considered to be an important intervention in improving the medication management process and thereby reducing medication errors and ADEs and further improve patient safety. The Health Information Technology for Economic and Clinical Health (HITECH) Act, implemented in the year 2011, is the most important regulation in recent years focused on enhancing the use of IT in the health care system.This study examined the organizational and environmental correlates of the adoption of Medication Management Technologies (MMTs) by U.S. acute care hospitals after the HITECH Act. The rational adaptation perspective of the resource dependence theory is utilized in this study, using panel data from 2009 to 2013 with a one-year lag for independent variables and mixed-effects regression models for analyses. The study operationalized adoption of MMTs through seven measures: global adoption of MMTs, adoption of closed loop medication management, adoption of meaningful use MMTs and adoption-levels for the four steps of the medication management process: ordering, transcribing, dispensing and administration. Hospitals were more likely to adopt MMTs in the time after the implementation of the HITECH Act (2012, 2013) and were less likely to adopt MMTs before the implementation of the HITECH Act (2009, 2010) as compared to the HITECH Act implementation period (2011). The study further found that the resource dependence construct of munificence, operationalized through organizational size, and the construct of interdependence, operationalized through private payer mix was significantly associated with the adoption of MMTs

Using Radio Frequency Identification Technology In Healthcare

In the healthcare industry, medical treatment can be a matter of life and death, so that any mistakes may cause irreversible consequences. As hospitals have sought to reduce these types of errors, Radio Frequency Identification Technology (RFID) has become a solution in the healthcare industry to address these problems. Since 2005, RFID has generated a lot of interest in healthcare to make simpler the identification process for tracking and managing medical resources to improve their use and to reduce the need for future costs for purchasing duplicate equipment. There are rising concerns linked to the privacy and security issues, when RFID tags are used for tracking items carried by people. A tag by its design will respond to a reader\u27s query without the owner\u27s consent and without the owner even noticing it. When RFID tags contain patients\u27 personal data and medical history, they have to be protected to avoid any leaking of privacy-sensitive information. To address these concerns, we propose an Intelligent RFID System which is a RFID card system that embeds smart tags in insurance cards, medical charts, and medical bracelets to store medical information. Patient data is sent to the insurance providers by way of a clearinghouse that translates the information from the healthcare facility into a format that the insurance company can process. To ensure data protection, an additional security layer was added to secure the communication between the tags and the readers. This security layer will allow only authorized readers to poll tags for the patient\u27s medical tags and prevent unauthorized access to tag data. It will simplify the maintenance and transfer of patient data in a secure, feasible and cost effective way

Methodology to restructurate and automate the supply chain in high-complexity hospital institutions

La aplicación de la reingeniería en los procesos logísticos hospitalarios además de mejorar sus eficiencias permite la disminución de errores y desperdicios que pueden impactar negativamente en la seguridad de los pacientes. Ante esta necesidad las Instituciones Hospitalarias en Colombia inician de manera incipiente con la implementación de tecnologías para sistematizar y automatizar sus procesos. La industria provee diversidad de soluciones que ante el desconocimiento de los procesos de logística hospitalaria y el interés comercial pueden hacer que las instituciones adquieran una tecnología no adecuada o sobredimensionada, dado que las ineficiencias detectadas podrían no ser totalmente resueltas por soluciones tecnológicas Se propone una metodología para diagnosticar y evaluar los procesos dentro de la cadena de abastecimiento de una Institución Hospitalaria de Alta Complejidad y evaluar la necesidad de implementación de soluciones tecnológicas y de automatización.The application of reengineering in hospital logistics processes, in addition to improve their efficiencies, allow the reduction of errors and waste that can negatively impact the safety of patients. In response to this need, the Hospital Institutions in Colombia begin incipiently with the implementation of technologies to systematize and automate their processes. The industry provides a diversity of solutions that due the lack of knowledge of hospital logistics processes and commercial interest, may cause institutions to acquire an inadequate or oversized technology, because the inefficiencies detected may not be fully solved by technological solutions. A methodology is proposed to diagnose and evaluate the processes within the supply chain of a High Complexity Hospital Institution and to evaluate the need for the implementation of technological and automation solutions

RFID: Prospects for Europe: Item-level Tagging and Public Transportation

This report, which is part of the COMPLETE series of studies, investigates the current and future competitiveness of the European industry in RFID applications in general and in two specific cases: item-level tagging and public transportation. It analyses its constituent technologies, drivers and barriers to growth, actual and potential markets and economic impacts, the industrial position and innovative capabilities, and it concludes with policy implicationsJRC.DDG.J.4-Information Societ

The incorporation of Radio Frequency Identification Technology in health institutions and the determining aspects of adoption

The process of traceability by radio frequency identification system (RFID) is considered one of the biggest contributions of the last years in the health sector. This article aims to study the academic contributions that this technology has brought to the segment in question and the consequent difficulties resulting from the implementation of this technology in the ambit of hospital and outpatient facilities. To carry out this work, we proceeded to survey and literature review in order to select the research related to the topic of RFID in the context of traceability. The data obtained clearly show that the benefits of this tool are numerous, ranging from drug screening to the correct availability of patient data. Although it is imbued with all these advantages, RFID still represents a visible difficulty of insertion in the hospital environment due to economic and security problems in terms of information privacy. However, this new reality is undeniable and its implementation is increasingly present in the medical environment, being a necessity rather than a technological advance

The Use of Data-driven Quality Strategy to Improve the Processes of Patient Identification and Pre-transfusion Specimen Collection Documentation at Sidra Medicine

Background: Regardless of healthcare technology advancements and widespread use of barcode identification technology, patient identification errors still occur. Several studies and benchmark programs have shown that patient misidentification is the leading cause of transfusion-associated reactions and fatalities. Therefore, it is recommended to use barcode technology to reduce and possibly eliminate avoidable blood transfusion errors. However, none of the available studies so far has investigated the compliance with using barcode technology to identify patients and specimens during the process of specimen collection for transfusion. Aims: This project aims are (1) Identify the prevalence of noncompliance in barcode scanning assisted patient identification at the pre-analytical phase during specimen collection at Sidra Medicine; and (2) Evaluate the causes of barcode scanning noncompliance; and finally (3) Develop quality improvement action plans that could reduce noncompliance events. Materials and Methods: The frequency of blood typing specimen collection noncompliance events between January 1, 2019 and December 31, 2019 were retrieved from the Laboratory Information System (LIS) module of Transfusion Medicine Laboratory report. Quantitative and qualitative analyses of data included stratification of collections by role and collection event, and finding possible sources of errors were performed. Accordingly, process improvement plans specific to each department involved in specimen collection were established. Results: Collection compliance rates of a total of 6387 blood typing specimens were evaluated. Full barcode scanning identification of both patient and specimen was utilized in only 33.6% of total collections during the baseline study period. The remaining two thirds of collections were override events, in which no barcode scanning at all represented 31.3%, and the sample accession label was scanned but not the patient armband in 32.3% of total collections. In addition, there were significant differences between phlebotomists and nurses with more phlebotomists performing the full scanning and specimen label scanning only, while more nurses obtained specimens without scanning either identification of patient or specimen (p<.001). Conclusion: Our study highlights poor utilization of barcode scanning to verify patient and specimen identification during specimen collection. We launched a quality improvement project that identified the causes contributing to non-compliance practices, and formulated improvement strategies

Bar-Code Technology and Nursing Adaptations

Background: Medication administration errors (MAEs) have long been a prevalent problem and endanger patient safety. Bar-code medication administration (BCMA) systems were developed for the purpose of preventing the occurrence of MAEs. However, it has been demonstrated that the implementation of BCMA has brought about unanticipated consequences on nursing work and new, potential predictable paths to MAEs. More recently, investigators have introduced a new approach to describe the impact of BCMA on nursing work, which reflects nurses’ adaptations to the operational problems of BCMA under difficult circumstances. A more complete understanding of the process of nurses’ adaptations to technology will better inform intervention program for performance and safety improvement. Specific Aims: The specific aims of this study were to: 1) conduct an integrative literature review about operational problems of BCMA, 2) validate a typology of operational problems of BCMA yielded in the literature review, and 3) assess nurses’ adaptations to BCMA operational problems and describe their perceptions about the adaptations. Conceptual Framework: The conceptual framework guided this study was an integration of the work system from the Systems Engineering Initiative for Patient Safety (SEIPS) model and the frames perspective. When there is a collision between the frames (system frame and practice frame), the operational problems occur, and then nurses make adaptations to the operational problems. In this study, it is considered that the “system frame” is functionalized as the “work system”, which is the core of the SEIPS model. Methods: A prospective, exploratory design was conducted to meet the study aims. This descriptive study included two convenience samples of registered nurses working on identified medical and surgical adult acute care units. An observation of BCMA use and a semi-structured interview was conducted with each participant of one group of sample (N=22) to collect data about the operational problems of BCMA. Another group of sample (N=21) conducted scenario interviews and follow-up interviews to describe their adaptations to the operational problems of BCMA. Results: This study found that 1) the triggers of operational problems of BCMA can be categorized according to the elements of the work system of the SEIPS model, which are technology and tools, tasks, person, environment, and organization; 2) the five elements of the SEIPS work system were validated for use as a typology of the triggers of operational problems of BCMA; 3) nurses conducted different adaptations with various strategies to accommodate to the operational problems of medication administration using BCMA; and 4) the perceptions of nurses about the adaptations to the operational problems of BCMA can be addressed by the sequential steps, implying nurses think in a logic and objective way during adaptations. Conclusions: This study provides a new way to approach the impact of BCMA on nursing work – adaptations. This is one of the first studies that attempts to understand nurses’ adaptations to the operational problems of BCMA, and also one of the first studies that investigates nurses’ perceptions about adaptations. Future research should more rigorously study nurses’ adaptive behaviors to operational problems.PHDNursingUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttps://deepblue.lib.umich.edu/bitstream/2027.42/146043/1/liujia_1.pd

The safe administration of medication within the electromagnetic scenarios of the Internet of Things (IoT): looking towards the future

This paper has focused on analyzing the impact of Information and Communication Technologies (ICTs) to prevent or reduce errors during therapeutic drug administration. The methodology used has included scientific literature and marketed appliances reviews and laboratory tests on radiant devices. The role of the patient has been analyzed, both in terms of compliance with the prescribed treatments and user of technical solutions designed for administering medication. In addition, it has taken into account, how a future characterized by multiple technologies designed to support our daily routines, including health care, might affect the current model of relationship between health professionals and patients. Particular attention has been given to safety risks of ICTs in environments characterized by concurrent electromagnetic emissions operating at different frequencies. Implications and new scenarios from Internet of Things or IoT, have been considered, in light of the approach taken jointly by the European Commission and the European Technology Platform on Intelligent Systems Integration – EPoSS, in their 2008 report Internet of Things in 2020: a roadmap for the future, and how the concept has evolved since then.Chapter 1. Adverse drug events. Chapter 2. ICTs in everyday life and healthcare. Chapter 3. the challenge of electromagnetic safety. Chapter 4. ICTs in health care and in the prevention of medication errors: IoT. Chapter 5. A more effective and safer alternative approach. Chapter 6. Technological proposal 7. Conclusions.N

Radio frequency identification and time-driven activity based costing: RFID-TDABC

This thesis extends the use of Radio Frequency Identification (RFID) data for accounting of warehouse costs and services. Time Driven Activity Based Costing (TDABC) methodology is enhanced with the real-time collected RFID data about duration of warehouse activities. This allows warehouse managers to have an accurate and instant calculations of costs. The RFID enhanced TDABC (RFID-TDABC) is proposed as a novel application of the RFID technology. Application of RFID-TDABC in a warehouse is implemented on warehouse processes of a case study company. Implementation covers receiving, put-away, order picking, and despatching. RFID technology is commonly used for the identification and tracking items. The use of the RFID generated information with the TDABC can be successfully extended to the area of costing. This RFID-TDABC costing model will benefit warehouse managers with accurate and instant calculations of costs. Although the study is limited in the scope to applying presented RFIDTDABC model only to warehouse operations of a SME company, RFIDTDABC concept will be of value to both academics and practitioners by showing how warehouse costs can be accurately measured by using this approach. Providing better understanding of incurred costs may result in a further optimisation of warehousing operations, lowering costs of activities, and thus provide competitive pricing to customers